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Jan 9

Agentic Systems in Radiology: Design, Applications, Evaluation, and Challenges

Building agents, systems that perceive and act upon their environment with a degree of autonomy, has long been a focus of AI research. This pursuit has recently become vastly more practical with the emergence of large language models (LLMs) capable of using natural language to integrate information, follow instructions, and perform forms of "reasoning" and planning across a wide range of tasks. With its multimodal data streams and orchestrated workflows spanning multiple systems, radiology is uniquely suited to benefit from agents that can adapt to context and automate repetitive yet complex tasks. In radiology, LLMs and their multimodal variants have already demonstrated promising performance for individual tasks such as information extraction and report summarization. However, using LLMs in isolation underutilizes their potential to support complex, multi-step workflows where decisions depend on evolving context from multiple information sources. Equipping LLMs with external tools and feedback mechanisms enables them to drive systems that exhibit a spectrum of autonomy, ranging from semi-automated workflows to more adaptive agents capable of managing complex processes. This review examines the design of such LLM-driven agentic systems, highlights key applications, discusses evaluation methods for planning and tool use, and outlines challenges such as error cascades, tool-use efficiency, and health IT integration.

  • 11 authors
·
Oct 10, 2025

Leveraging Generic Foundation Models for Multimodal Surgical Data Analysis

We investigate how both the adaptation of a generic foundation model via transfer learning and the integration of complementary modalities from the operating room (OR) can support surgical data science. To this end, we use V-JEPA as the single-modality foundation of a multimodal model for minimally invasive surgery support. We analyze how the model's downstream performance can benefit (a) from finetuning on unlabeled surgical video data and (b) from providing additional time-resolved data streams from the OR in a multimodal setup. In an in-house dataset of liver surgery videos, we analyze the tasks of predicting hospital length of stay and postoperative complications. In videos of the public HeiCo dataset, we analyze the task of surgical phase recognition. As a baseline, we apply pretrained V-JEPA to all tasks. We then finetune it on unlabeled, held-out videos to investigate its change in performance after domain adaptation. Following the idea of modular decision support networks, we integrate additional data streams from the OR by training a separate encoder to form a shared representation space with V-JEPA's embeddings. Our experiments show that finetuning on domain-specific data increases model performance. On the in-house data, integrating additional time-resolved data likewise benefits the model. On the HeiCo data, accuracy of the pretrained video-only, single-modality baseline setup is on par with the top-performing submissions of the EndoVis2017 challenge, while finetuning on domain-specific data increases accuracy further. Our results thus demonstrate how surgical data science can leverage public, generic foundation models. Likewise, they indicate the potential of domain adaptation and of integrating suitable complementary data streams from the OR. To support further research, we release our code and model weights at https://github.com/DigitalSurgeryLab-Basel/ML-CDS-2025.

  • 5 authors
·
Sep 8, 2025

AViLA: Asynchronous Vision-Language Agent for Streaming Multimodal Data Interaction

An ideal vision-language agent serves as a bridge between the human users and their surrounding physical world in real-world applications like autonomous driving and embodied agents, and proactively provides accurate and timely responses given user intents. An intriguing challenge arises when agents interact with the world as a dynamic data stream and ad-hoc queries from users: supporting knowledge for queries, namely evidence, usually appears asynchronously with the arrival time of queries, and agents need to ground their responses in historical data, present observations, and even future streams. We frame this challenge as Query-Evidence Asynchrony, where user queries and their supporting evidence typically arrive asynchronously in the streaming setting. This setting requires not only strong reasoning capabilities but also the ability to retain past observations and respond to queries with temporal awareness. In this paper, we introduce a diagnostic benchmark that evaluates Multimodal Large Language Models (MLLMs) on their ability to handle interaction with streaming data. Further, we present AViLA, Asynchronous Video-Language Agent for streaming data interaction that can handle ad-hoc queries and give time-aware responses. For this purpose, AViLA consists of three key modules: comprehensive memory retention, evidence identification, and evidence-grounded trigger, that are designed to maintain a general-purpose memory and respond readily and timely to queries. Our experiments show that existing models often fail to respond at appropriate times, while AViLA significantly improves both accuracy and temporal awareness. Our code and dataset will be publicly available.

  • 9 authors
·
Jun 23, 2025

FastUMI-100K: Advancing Data-driven Robotic Manipulation with a Large-scale UMI-style Dataset

Data-driven robotic manipulation learning depends on large-scale, high-quality expert demonstration datasets. However, existing datasets, which primarily rely on human teleoperated robot collection, are limited in terms of scalability, trajectory smoothness, and applicability across different robotic embodiments in real-world environments. In this paper, we present FastUMI-100K, a large-scale UMI-style multimodal demonstration dataset, designed to overcome these limitations and meet the growing complexity of real-world manipulation tasks. Collected by FastUMI, a novel robotic system featuring a modular, hardware-decoupled mechanical design and an integrated lightweight tracking system, FastUMI-100K offers a more scalable, flexible, and adaptable solution to fulfill the diverse requirements of real-world robot demonstration data. Specifically, FastUMI-100K contains over 100K+ demonstration trajectories collected across representative household environments, covering 54 tasks and hundreds of object types. Our dataset integrates multimodal streams, including end-effector states, multi-view wrist-mounted fisheye images and textual annotations. Each trajectory has a length ranging from 120 to 500 frames. Experimental results demonstrate that FastUMI-100K enables high policy success rates across various baseline algorithms, confirming its robustness, adaptability, and real-world applicability for solving complex, dynamic manipulation challenges. The source code and dataset will be released in this link https://github.com/MrKeee/FastUMI-100K.

  • 17 authors
·
Oct 9, 2025

Self-Supervised Speech Representation Learning: A Review

Although supervised deep learning has revolutionized speech and audio processing, it has necessitated the building of specialist models for individual tasks and application scenarios. It is likewise difficult to apply this to dialects and languages for which only limited labeled data is available. Self-supervised representation learning methods promise a single universal model that would benefit a wide variety of tasks and domains. Such methods have shown success in natural language processing and computer vision domains, achieving new levels of performance while reducing the number of labels required for many downstream scenarios. Speech representation learning is experiencing similar progress in three main categories: generative, contrastive, and predictive methods. Other approaches rely on multi-modal data for pre-training, mixing text or visual data streams with speech. Although self-supervised speech representation is still a nascent research area, it is closely related to acoustic word embedding and learning with zero lexical resources, both of which have seen active research for many years. This review presents approaches for self-supervised speech representation learning and their connection to other research areas. Since many current methods focus solely on automatic speech recognition as a downstream task, we review recent efforts on benchmarking learned representations to extend the application beyond speech recognition.

  • 12 authors
·
May 21, 2022

COSMO: COntrastive Streamlined MultimOdal Model with Interleaved Pre-Training

In the evolution of Vision-Language Pre-training, shifting from short-text comprehension to encompassing extended textual contexts is pivotal. Recent autoregressive vision-language models like flamingo, palme, leveraging the long-context capability of Large Language Models, have excelled in few-shot text generation tasks but face challenges in alignment tasks. Addressing this gap, we introduce the contrastive loss into text generation models, presenting the COntrastive-Streamlined MultimOdal framework (\ModelName), strategically partitioning the language model into dedicated unimodal text processing and adept multimodal data handling components. \ModelName, our unified framework, merges unimodal and multimodal elements, enhancing model performance for tasks involving textual and visual data while notably reducing learnable parameters. However, these models demand extensive long-text datasets, yet the availability of high-quality long-text video datasets remains limited. To bridge this gap, this work introduces \VideoDatasetName, an inaugural interleaved video-text dataset featuring comprehensive captions, marking a significant step forward. Demonstrating its impact, we illustrate how enhances model performance in image-text tasks. With 34% learnable parameters and utilizing 72\% of the available data, our model demonstrates significant superiority over OpenFlamingo~openflamingo. For instance, in the 4-shot flickr captioning task, performance notably improves from 57.2% to 65.\%. The contributions of and are underscored by notable performance gains across 14 diverse downstream datasets encompassing both image-text and video-text tasks.

  • 8 authors
·
Jan 1, 2024 2

MultiSensor-Home: A Wide-area Multi-modal Multi-view Dataset for Action Recognition and Transformer-based Sensor Fusion

Multi-modal multi-view action recognition is a rapidly growing field in computer vision, offering significant potential for applications in surveillance. However, current datasets often fail to address real-world challenges such as wide-area distributed settings, asynchronous data streams, and the lack of frame-level annotations. Furthermore, existing methods face difficulties in effectively modeling inter-view relationships and enhancing spatial feature learning. In this paper, we introduce the MultiSensor-Home dataset, a novel benchmark designed for comprehensive action recognition in home environments, and also propose the Multi-modal Multi-view Transformer-based Sensor Fusion (MultiTSF) method. The proposed MultiSensor-Home dataset features untrimmed videos captured by distributed sensors, providing high-resolution RGB and audio data along with detailed multi-view frame-level action labels. The proposed MultiTSF method leverages a Transformer-based fusion mechanism to dynamically model inter-view relationships. Furthermore, the proposed method integrates a human detection module to enhance spatial feature learning, guiding the model to prioritize frames with human activity to enhance action the recognition accuracy. Experiments on the proposed MultiSensor-Home and the existing MM-Office datasets demonstrate the superiority of MultiTSF over the state-of-the-art methods. Quantitative and qualitative results highlight the effectiveness of the proposed method in advancing real-world multi-modal multi-view action recognition. The source code is available at https://github.com/thanhhff/MultiTSF.

  • 5 authors
·
Apr 3, 2025

MedThink: Explaining Medical Visual Question Answering via Multimodal Decision-Making Rationale

Medical Visual Question Answering (MedVQA), which offers language responses to image-based medical inquiries, represents a challenging task and significant advancement in healthcare. It assists medical experts to swiftly interpret medical images, thereby enabling faster and more accurate diagnoses. However, the model interpretability and transparency of existing MedVQA solutions are often limited, posing challenges in understanding their decision-making processes. To address this issue, we devise a semi-automated annotation process to streamline data preparation and build new benchmark MedVQA datasets R-RAD, R-SLAKE and R-Path. These datasets provide intermediate medical decision-making rationales generated by multimodal large language models and human annotations for question-answering pairs in existing MedVQA datasets, i.e., VQA-RAD, SLAKE and PathVQA. Moreover, we design a novel framework, MedThink, which finetunes lightweight pretrained generative models by incorporating medical decision-making rationales. MedThink includes three distinct strategies to generate decision outcomes and corresponding rationales, thereby clearly showcasing the medical decision-making process during reasoning. Our comprehensive experiments show that our method achieves an accuracy of 83.5% on R-RAD, 86.3% on R-SLAKE and 87.2% on R-Path. These results significantly exceed those of existing state-of-the-art models with comparable parameters. Datasets and code will be released.

  • 6 authors
·
Apr 18, 2024

A Practitioner's Guide to Continual Multimodal Pretraining

Multimodal foundation models serve numerous applications at the intersection of vision and language. Still, despite being pretrained on extensive data, they become outdated over time. To keep models updated, research into continual pretraining mainly explores scenarios with either (1) infrequent, indiscriminate updates on large-scale new data, or (2) frequent, sample-level updates. However, practical model deployment often operates in the gap between these two limit cases, as real-world applications often demand adaptation to specific subdomains, tasks or concepts -- spread over the entire, varying life cycle of a model. In this work, we complement current perspectives on continual pretraining through a research test bed as well as provide comprehensive guidance for effective continual model updates in such scenarios. We first introduce FoMo-in-Flux, a continual multimodal pretraining benchmark with realistic compute constraints and practical deployment requirements, constructed over 63 datasets with diverse visual and semantic coverage. Using FoMo-in-Flux, we explore the complex landscape of practical continual pretraining through multiple perspectives: (1) A data-centric investigation of data mixtures and stream orderings that emulate real-world deployment situations, (2) a method-centric investigation ranging from simple fine-tuning and traditional continual learning strategies to parameter-efficient updates and model merging, (3) meta learning rate schedules and mechanistic design choices, and (4) the influence of model and compute scaling. Together, our insights provide a practitioner's guide to continual multimodal pretraining for real-world deployment. Our benchmark and code is here: https://github.com/ExplainableML/fomo_in_flux.

  • 10 authors
·
Aug 26, 2024

Brain-Streams: fMRI-to-Image Reconstruction with Multi-modal Guidance

Understanding how humans process visual information is one of the crucial steps for unraveling the underlying mechanism of brain activity. Recently, this curiosity has motivated the fMRI-to-image reconstruction task; given the fMRI data from visual stimuli, it aims to reconstruct the corresponding visual stimuli. Surprisingly, leveraging powerful generative models such as the Latent Diffusion Model (LDM) has shown promising results in reconstructing complex visual stimuli such as high-resolution natural images from vision datasets. Despite the impressive structural fidelity of these reconstructions, they often lack details of small objects, ambiguous shapes, and semantic nuances. Consequently, the incorporation of additional semantic knowledge, beyond mere visuals, becomes imperative. In light of this, we exploit how modern LDMs effectively incorporate multi-modal guidance (text guidance, visual guidance, and image layout) for structurally and semantically plausible image generations. Specifically, inspired by the two-streams hypothesis suggesting that perceptual and semantic information are processed in different brain regions, our framework, Brain-Streams, maps fMRI signals from these brain regions to appropriate embeddings. That is, by extracting textual guidance from semantic information regions and visual guidance from perceptual information regions, Brain-Streams provides accurate multi-modal guidance to LDMs. We validate the reconstruction ability of Brain-Streams both quantitatively and qualitatively on a real fMRI dataset comprising natural image stimuli and fMRI data.

  • 3 authors
·
Sep 18, 2024

Stream-Omni: Simultaneous Multimodal Interactions with Large Language-Vision-Speech Model

The emergence of GPT-4o-like large multimodal models (LMMs) has raised the exploration of integrating text, vision, and speech modalities to support more flexible multimodal interaction. Existing LMMs typically concatenate representation of modalities along the sequence dimension and feed them into a large language model (LLM) backbone. While sequence-dimension concatenation is straightforward for modality integration, it often relies heavily on large-scale data to learn modality alignments. In this paper, we aim to model the relationships between modalities more purposefully, thereby achieving more efficient and flexible modality alignments. To this end, we propose Stream-Omni, a large language-vision-speech model with efficient modality alignments, which can simultaneously support interactions under various modality combinations. Stream-Omni employs LLM as the backbone and aligns the vision and speech to the text based on their relationships. For vision that is semantically complementary to text, Stream-Omni uses sequence-dimension concatenation to achieve vision-text alignment. For speech that is semantically consistent with text, Stream-Omni introduces a CTC-based layer-dimension mapping to achieve speech-text alignment. In this way, Stream-Omni can achieve modality alignments with less data (especially speech), enabling the transfer of text capabilities to other modalities. Experiments on various benchmarks demonstrate that Stream-Omni achieves strong performance on visual understanding, speech interaction, and vision-grounded speech interaction tasks. Owing to the layer-dimensional mapping, Stream-Omni can simultaneously provide intermediate text outputs (such as ASR transcriptions and model responses) during speech interaction, offering users a comprehensive multimodal experience.

  • 5 authors
·
Jun 16, 2025 2

InternLM-XComposer2.5-OmniLive: A Comprehensive Multimodal System for Long-term Streaming Video and Audio Interactions

Creating AI systems that can interact with environments over long periods, similar to human cognition, has been a longstanding research goal. Recent advancements in multimodal large language models (MLLMs) have made significant strides in open-world understanding. However, the challenge of continuous and simultaneous streaming perception, memory, and reasoning remains largely unexplored. Current MLLMs are constrained by their sequence-to-sequence architecture, which limits their ability to process inputs and generate responses simultaneously, akin to being unable to think while perceiving. Furthermore, relying on long contexts to store historical data is impractical for long-term interactions, as retaining all information becomes costly and inefficient. Therefore, rather than relying on a single foundation model to perform all functions, this project draws inspiration from the concept of the Specialized Generalist AI and introduces disentangled streaming perception, reasoning, and memory mechanisms, enabling real-time interaction with streaming video and audio input. The proposed framework InternLM-XComposer2.5-OmniLive (IXC2.5-OL) consists of three key modules: (1) Streaming Perception Module: Processes multimodal information in real-time, storing key details in memory and triggering reasoning in response to user queries. (2) Multi-modal Long Memory Module: Integrates short-term and long-term memory, compressing short-term memories into long-term ones for efficient retrieval and improved accuracy. (3) Reasoning Module: Responds to queries and executes reasoning tasks, coordinating with the perception and memory modules. This project simulates human-like cognition, enabling multimodal large language models to provide continuous and adaptive service over time.

  • 29 authors
·
Dec 12, 2024 3

CTP: Towards Vision-Language Continual Pretraining via Compatible Momentum Contrast and Topology Preservation

Vision-Language Pretraining (VLP) has shown impressive results on diverse downstream tasks by offline training on large-scale datasets. Regarding the growing nature of real-world data, such an offline training paradigm on ever-expanding data is unsustainable, because models lack the continual learning ability to accumulate knowledge constantly. However, most continual learning studies are limited to uni-modal classification and existing multi-modal datasets cannot simulate continual non-stationary data stream scenarios. To support the study of Vision-Language Continual Pretraining (VLCP), we first contribute a comprehensive and unified benchmark dataset P9D which contains over one million product image-text pairs from 9 industries. The data from each industry as an independent task supports continual learning and conforms to the real-world long-tail nature to simulate pretraining on web data. We comprehensively study the characteristics and challenges of VLCP, and propose a new algorithm: Compatible momentum contrast with Topology Preservation, dubbed CTP. The compatible momentum model absorbs the knowledge of the current and previous-task models to flexibly update the modal feature. Moreover, Topology Preservation transfers the knowledge of embedding across tasks while preserving the flexibility of feature adjustment. The experimental results demonstrate our method not only achieves superior performance compared with other baselines but also does not bring an expensive training burden. Dataset and codes are available at https://github.com/KevinLight831/CTP.

  • 5 authors
·
Aug 14, 2023

Probabilistic Hyper-Graphs using Multiple Randomly Masked Autoencoders for Semi-supervised Multi-modal Multi-task Learning

The computer vision domain has greatly benefited from an abundance of data across many modalities to improve on various visual tasks. Recently, there has been a lot of focus on self-supervised pre-training methods through Masked Autoencoders (MAE) he2022masked,bachmann2022multimae, usually used as a first step before optimizing for a downstream task, such as classification or regression. This is very useful as it doesn't require any manually labeled data. In this work, we introduce Probabilistic Hyper-Graphs using Masked Autoencoders (PHG-MAE): a novel model that unifies the classical work on neural graphs leordeanu2021semi with the modern approach of masked autoencoders under a common theoretical framework. Through random masking of entire modalities, not just patches, the model samples from the distribution of hyper-edges on each forward pass. Additionally, the model adapts the standard MAE algorithm by combining pre-training and fine-tuning into a single training loop. Moreover, our approach enables the creation of inference-time ensembles which, through aggregation, boost the final prediction performance and consistency. Lastly, we show that we can apply knowledge distillation on top of the ensembles with little loss in performance, even with models that have fewer than 1M parameters. While our work mostly focuses on outdoor UAV scenes that contain multiple world interpretations and modalities, the same steps can be followed in other similar domains, such as autonomous driving or indoor robotics. In order to streamline the process of integrating external pre-trained experts for computer vision multi-modal multi-task learning (MTL) scenarios, we developed a data-pipeline software. Using this tool, we have created and released a fully-automated extension of the Dronescapes dataset. All the technical details, code and reproduction steps are publicly released.

  • 2 authors
·
Oct 11, 2025